新型冠状病毒感染临床表现问卷调查  

Prevalence survey of clinical manifestations following COVID-19

作　　者：房廷豪 吕蒙 王吉华 刘怡 乔昌龙 武广函 王栋[1] 王月兰[1] Fang Tinghao;Lyu Meng;Wang Jihua;Liu Yi;Qiao Changlong;Wu Guanghan;Wang Dong;Wang Yuelan(Department of Anesthesia and Perioperative Medicine,The First Affiliated Hospital of Shandong First Medical University Shandong Institute of Anesthesia and Respiratory Critical Care,Jinan 250014,China)

机构地区：[1]山东第一医科大学第一附属医院(山东省千佛山医院)麻醉与围术期医学科、山东省麻醉与呼吸危重症研究所,济南250014

出　　处：《中华麻醉学杂志》2023年第1期24-28,共5页Chinese Journal of Anesthesiology

摘　　要：目的采用问卷形式调查新型冠状病毒感染的临床表现。方法调查2022年11月11日至2022年12月31日期间全国麻醉工作者及其周围人群新型冠状病毒感染情况。问卷调查时间为2023年1月7日至1月15日,采用腾讯电子问卷(ID.11492813),通过微信平台推送至全国麻醉学各类协会或学会群,并要求群内成员转发至朋友圈。结果本次调查发放问卷17000份,共收回来自于全国31个省市及自治区的有效问卷11060份,回收率65.059%。新型冠状病毒感染10068例(91.037%),感染人群中男性比率47.606%,女性比率52.394%。主要临床表现为发热(85.777%)、咳嗽(83.731%)、乏力(75.338%)、睡眠异常(64.352%)、四肢肌肉酸痛(58.890%)、头晕头痛耳鸣(38.617%)、味觉丧失或异常(37.763%)、嗅觉丧失或异常(30.960%);外周神经痛多出现于核酸检测或抗原检测阳性后3 d内;出汗症状2963例,其中男性比率47.25%,女性比率52.75%,且转阴后仍有持续出汗者比率37.80%。调查人群中有1151例合并心脏早搏,其中感染新型冠状病毒后症状加重者比率34.32%。结论新型冠状病毒感染患者除呼吸系统外,中枢神经与外周神经也会受到影响,且持续至核酸检测或抗原检测阴性后数日,提示麻醉科医生应加强此类患者围术期各类神经功能的监测以及重视手术和麻醉药物对机体应激反应的影响。Objective To investigate the clinical manifestations of population following COVID-19 by using questionnaires.Methods COVID-19 among anesthesia workers and the surrounding population was investigated between 11 November 2022 and 31 December 2022 in China.The Tencent electronic questionnaire(ID.11492813)was sent to different WeChat groups of the Association of Anesthesiologists or Society of Anesthesiologists via the WeChat platform of the medical personnel in China.The survey was conducted between January 7 and January 15,2023.Results A total of 17000 questionnaires were issued for this survey,11060 valid questionnaires from 31 provinces and autonomous regions were collected all over the country,with a recovery rate of 65.059%.There were 10068(91.037%)participants diagnosed as having COVID-19,and among of them,47.606%were male and 52.394%were female.The main post-COVID-19 clinical manifestations included fever(85.777%),cough(83.731%),fatigue(75.338%),parasomnia(64.352%),limb soreness(58.890%),dizziness,headache,tinnitus(38.617%),loss or abnormality of taste(37.763%),and loss or abnormality of smell(30.960%);peripheral neuralgia was usually found within 3 days after positive nucleic acid test or positive antigen test;there were 2963 cases accompanied with sweating,and among of them,47.25%were male and 52.75%were female,and 37.80%of these participants continued to sweat after the nucleic acid test or antigen test became negative.There were 1151 cases with premature heart beats among the study population,and the symptoms aggravated following COVID-19 were found in 34.32%of these patients.Conclusions In addition to the respiratory system,the central and peripheral nerves of patients are also affected following COVID-19,and the peripheral and central nerve disorders last until several days after negative nucleic acid test or antigen test,suggesting that anesthesiologists should pay more attention to monitoring of various nerve function and impact of surgery and anesthetic drugs on the stress response of the body in su

关 键 词：调查和问卷 新型冠状病毒感染 临床表现 

分 类 号：R511[医药卫生—内科学]